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Tennessee rates for HCPCS 99281

Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $295 · 10th–90th $78–$9550%20%10th90th$295Professionalmedian $37 · 10th–90th $9–$870%5%10%10th90th$37$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $891.25 / $1,047.13
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$77.62 / $295.12 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $37.15 / $75.86
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$29.51 / $114.82 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $25.70 / $40.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $524.81 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.91 / $39.81
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11